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Channel: 15. Practice and Philosophy of Emergency Medicine Archives - Crashing Patient
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Evidence Based Medicine (EBM)

  Best dx calculator http://faculty.vassar.edu/lowry/clin1.html   For just LR . http://www.quesgen.com/Calculators/CIforLR/CIforLR.html   Confidence interval of a proportion...

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Emergency Department Billing and Charting

RVU Killers Lecture Huge potential for disagreement when assigning CPT-4 codes (Annals EM 40:3, 2002)   CC, ROS, PFSH may be separate or all in HPI.  May be recorded by ancillary staff, but physician...

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Emergency Medicine Laws and Legalities

My favorite cog screen is Six Item Screener 3-item recall and temporal orientation (day of week, month, year) Must score 5 or 6 Acad Emerg Med;2005;12:612 Med Care 2002;40:771 Capacity   Abbreviated...

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Emergency Department Logistics

Ambient Noise EDs are way too load and this contributes to stress in ED workers (Pediatr Emer Care 2011;27:826)   Cell Phones Cell Phones are probably fine in the ED unless right next to 1 in 20...

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Faculty Development

    Faculty Development Educators Portfolio (Acad Emer Med March 2004 11:3)   REVIEW OF INSTRUMENTS FOR PEER ASSESSMENT OF PHYSICIANS Evans, R., et al, Br Med J 328:1240, May 22, 2004 BACKGROUND: Peer...

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Ethics

Ethics   best review     Modern applied bioethicists generally use a casuistic (case-based) approach to identify practical solutions to real world ethical dilemmas in medicine. Although a purely...

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Medical Errors

Medical Errors  1-800-23-ERROR  To report medical errors in confidence to the Institute for Safe Medical Practices www.ismp.org   How to Tell Patients about Errors DISCLOSING MEDICAL ERRORS —Leah J....

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Personal Liability Insurance

Personal Liability Insurance Insight – 1 All PLI policies are definitely not created equal; simply purchasing a policy doesn’t protect us from claims that arise from our work. And residency training...

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Credentialing

from [Ann Emerg Med. 2006;47:306] The American College of Emergency Physicians (ACEP) believes that board certification by the American Board of Emergency Medicine (ABEM) or the American Osteopathic...

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Cognitive Approaches to Training

  Best article on using new learning and teaching styles and What we can learn from Cog Psych for Education in Medicine find your learning style http://www.metamath.com/lsweb/dvclearn.htm Stress...

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Kaizen

Kaizen   kaizen   The post Kaizen appeared first on Crashing Patient.

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Morbidity and Mortality

Morbidity and Mortality Conferences   We use preventable, possibly preventable, and non-preventable deaths.  We use trauma scoring and other scoring benchmarks to screen for cases presented to two...

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Medical Writing

Medical Writing   how to write an abstract (Chest 2006;129:1375)   How to write a paper. Martin Tobin, Maywood, USA Start with figures and tables; than results and discussion, followed by introduction...

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Research and Writing Fundamentals

How to Write an Article Title, Abstract, Intro (J Trauma 2014;76(5):1322) Research Fundamentals shrinkage in subgroup analysis (Ann Emerg Med 2010;55:544)   Consent Rituals lead to bad care (Lancet...

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Simulation

(Crit Care Med 2006;34(8):2167)   simulations of sepsis (Crit Care med 2007;35(3):)     JAMA. 2011 Sep 7;306(9):978-88. Technology-enhanced simulation for health professions education: a systematic...

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Critical Thinking, Logical Fallacies, and Meta-Cognition

Meta-Cognition Novices vs. expert (Ann Emerg Med 2013;61:96) Critical Thinking Induction and Deduction Massimo Pigliucci is certainly correct in saying that “it is important for anyone interested in...

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Institutional Review Board

Institutional Review Board Review Article on how to write an IRB application (Chest 2006;130(5):1605)     History 1. BEDAFC 2. ACB   Basics Question Your Answer Correct Answer 1 B B 2 D D 3 C C 4 D D 5...

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Medico-legal Work and Expert Witnessing

Depositions Do not provide any more info then you have to 3 steps recommended by … 1. Repeat the question in your head 2. Ask yourself, is this a question–if not, don’t answer 3. If it is, ask yourself...

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Meta-Analysis and Systematic Reviews

    Meta-analysis   great review article (Crit Care 2008;12:220)   How to do an SR part I     |      |      | The post Meta-Analysis and Systematic Reviews appeared first on Crashing Patient.

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Spectrum Bias

Spectrum Bias   test accuracy may vary with prevalence. signs of spectrum bias (J Clin Epidemiology 2009;62:5-12)   The post Spectrum Bias appeared first on Crashing Patient.

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Shift Work and Sleep Transitions

Shift Work, Sleep Transitions, and Jet Lag Neurobehavioral Performance of Residents After Heavy Night Call vs After Alcohol Ingestion night shifts are just as bad as legal limit of drinking (JAMA....

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Retrospective Studies

Propensity Scores A question that may arise from investigators who have not used propensity scores before is: Why must we estimate the probability that a subject receives a certain treatment since we...

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Clinical Decision-Making and Bedside Manner

Educational Strategies to Promote Clinical Diagnostic Reasoning (NEJM 2006;355(21):2217)       ·        Sit at patient’s bedside to collect a thorough history. ·        Perform an uninterrupted...

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Discharge Instructions

    Discharge Instructions           |      |      |   The post Discharge Instructions appeared first on Crashing Patient.

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General Evidence Based Medicine

Knowledge Translation Review article by Lang ES, Wyer PC (Ann Emerg Med 2006)       RR tells you the risk of an outcome given a factor Odds ratio tells you that given an outcome, the odds of having...

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Pyschological First Aid

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Medication Reconciliation

“Screening reconciliation” for all ED patients should include routinely obtaining from each patient at each ED visit a list of the patient’s current medications (usually done by the triage nurse)....

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Malpractice

On Average, Physicians Spend Nearly 11 Percent Of Their 40-Year Careers With An Open, Unresolved Malpractice Claim Health Aff January 2013 32:1111-119; New York State Medical malpractice actions must...

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Patient Satisfaction

In a nationally representative sample, higher patient satisfaction was associated with less emergency department use but with greater inpatient use, higher overall health That however! It’s no...

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Checklists and Cognitive Aids

Implementing Emergency Manuals: Can Cognitive Aids Help Translate Best Practices for Patient Care During Acute Events? A sample The Checklist Project and their Checklist for Checklists The post...

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Grants

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Exam Preparation

Bizz-Buzz-and-Killer-Foils The post Exam Preparation appeared first on Crashing Patient.

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Care of Non-Mainstream Patient Groups

jamainternal_Rosendale_2018_rv_180001   The post Care of Non-Mainstream Patient Groups appeared first on Crashing Patient.

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